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Rae Ann Moxley
Mental Illness Community Based Residential Treatment Facility in Libby, Montana
NPI 1760734149

Rae Ann Moxley is a Mental Illness Community Based Residential Treatment Facility based in Libby, MT. Rae Ann Moxley practices in Libby, MT. The NPI Number for Rae Ann Moxley is 1760734149 and holds a License No. 0044364-001 (Montana).

The current practice location address for Rae Ann Moxley is 459 Conifer Rd, Libby, MT and can be reached out via phone at 406-295-9980.

Location: 459 Conifer Rd, Libby, MT, 59923-2966
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760734149
Provider Name
Rae Ann Moxley
Credential
Provider Entity Type
Organization
Address
459 Conifer Rd, Libby, MT, 59923-2966
Phone Number
406-295-9980
Fax Number
Provider Enumeration Date
10/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0044364-001 01 MT MT ST DEPT. OF PUBLIC HEALTH AND HUMAN SERVICES LICENSE FOR ADULT FOSTER HOME
institution
Provider Business Practice Location Address Details
Address
459 Conifer Rd
City
Libby
State
Montana
Zip
59923-2966
Phone Number
406-295-9980
Fax Number
person
Provider Business Mailing Address Details
Address
459 Conifer Rd
City
Libby
State
Montana
Zip
59923-2966
Phone Number
406-295-9980
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
0044364-001 (Montana)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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